twins, tall, thin,
gorgeous blondes, were virtually
indistinguishable from one another.
Dr. Binder was meticulous, keeping
everything else as close to the same
as possible; same genetics, diet
(including water, alcohol, and
caffeine intake), sun exposure,
stress levels, similar makeup and
skin care regimens, even how much
sleep both twins got at night (7 ½
hours). Long thought of as only a
temporary procedure, the long term
results surprised even him.

Technically known as hyperfunctional
or imprinted lines, frown lines,
crow’s feet, and forehead creases
result from the repeated tightening
of many small facial muscles over
many years. Botox works by
temporarily paralyzing these
muscles, resulting in younger
looking, smoother skin. Comparing
the twins after seven months without
Botox in thousands of pictures,
their faces showed dramatic
differences in appearance. Several
photos appeared in the 2008 issue of
Allure magazine bringing the
issue to national attention, and are
available online (check them out,
they are amazing!).

By 38
years old, the untreated twin had
left modeling to become a full-time
mom (having children is one of the
few differences between the twins)
who continued to take pride in her
appearance. She had moderate
horizontal forehead lines, visible
even at rest. The treated twin,
still a professional model, had
none. Most visibly evident on the
untreated twin were severe frown
lines on the fold of skin above and
between the eyes. The treated twin
had absolutely none, except when
frowning in an exaggerated manner.
Severe crow’s feet were evident,
especially when smiling, to the
sides of both the untreated twin’s
eyes. The treated twin had very mild
crow’s feet

A

mong
Hollywood’s elite, looking good is
big business. Maintaining a
youthful-looking, wrinkle-free face
is important and is literally part
of every actor, actress, and model’s
job. Just pick up any magazine or
turn on the TV, and it is quite
evident how visual and image-driven
society has become. In this
environment, the face-shot is more
than just an ordinary picture, it is
a celebrity’s instantly recognizable
symbol—who they are, what they’ve
done, how successful they are (or
are not), all rolled up into one. An
actor’s face is possibly their
biggest career asset, and they will
do almost anything to keep their
face looking its best.

In the
early 90’s, Botox took America’s
“culture industry” by storm,
shooting

Now offering
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We are able to decrease and smooth
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straight to the top
and never leaving. All of a sudden
stars just looked younger. Able to
relax the frown lines between the
eyes, smooth out wrinkled foreheads,
and eliminate crow’s feet, there was
seemingly nothing it could not do;
the only drawback was that the
results were temporary, usually
lasting 3-6 months. Botox quickly
became the preferred quick fix, but
nothing could be said about its long
term effects.

This is
the story of Beverly Hills plastic
surgeon William Binder and the
“Botox twins.”

For 13
years, Dr. Binder had taken
thousands of pictures of the twins’
faces, one receiving Botox
injections three times a year to the
forehead and around the eyes. The

visible only when smiling. Among the
treated areas, the crow’s feet were
the only signs of visible aging on
the treated twin. Areas not
receiving Botox, such as the upper
lip and cheeks, showed comparable
aging in both twins. According to
Dr. Binder, “in the treated areas,
it is as if the treated twin stopped
aging at 25. We did not know Botox
could do that.” Dr. Binder’s study
was the first real evidence that
Botox could be used to prevent signs
of aging from developing in the
first place, and is now common
practice.

How
young is too young for Botox? Most
plastic surgeons give answers
between 20 and 25 years. An
experienced plastic surgeon gave the
following advice: “You cannot have
just anybody do this, you have got
to be an artist with the injections.
You want somebody who does this all
the time and knows where and how
much to inject. A common mistake is
using too much. That is when you get
that frozen, mask-like face.”